Clinical application of the forearm tourniquet

Khuri, Suheil M.; Uhl, Richard L.; Martino, Joseph A.; Whipple, Richard

doi:10.1016/0363-5023(94)90202-x

Cited by 16 publications

(8 citation statements)

References 10 publications

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“…The bloodless field was excellent, achieving similar results as other authors [3,6]. The tourniquet was inflated 75 mmHg over systolic pressure measured in the operating room (always higher than measurements performed on admission).…”

Section: Discussionsupporting

confidence: 84%

“…Derkash et al [3] used a complete wrist blockade, which completely blocks the pain due to the ischemic area, but it does not cover the pain due to the direct cuff pressure. Other studies performed other types of local anaesthesia [4,6,8,9], partial wrist blockades [9], regional [5,6,9], or general anaesthesia [5].…”

Section: Discussionmentioning

confidence: 99%

“…The tourniquet has been traditionally placed at the upper arm, but recent work has shown that it is possible to set it more distally at either the forearm [4,6] or wrist [3,5]. Local anaesthesia or peripheral blockades are commonly used [4,8,9] to prevent complications related to regional or general anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

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Distal forearm tourniquet for hand surgery

Delgado-Martínez

Marchal

Blanco

et al. 2004

International Orthopaedics (SICOT)

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To evaluate the usefulness of the tourniquet placed at the distal forearm, 30 patients were operated with the tourniquet set at the distal forearm using nerve-block anaesthesia. Pain during surgery, flexion of the fingers, bloodless field, and general complications during surgery and 18 months thereafter were recorded. The mean time of ischemia was 19.6±7.5 (10-50) min. A bloodless field was achieved in all cases, and pain during operation was low. Flexion of the fingers were found in most cases but was reducible and not annoying for the surgeon. There were no serious complications during surgery or at follow-up. The tourniquet placed at the distal forearm is painless, safe, and useful in hand surgery.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Distal forearm tourniquet for hand surgery

Delgado-Martínez

Marchal

Blanco

et al. 2004

International Orthopaedics (SICOT)

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“…12,29 They produce improved tolerance, permitting an increased tourniquet time, 13 and they allow a reduction of the local anesthetic dose, 14,16 thus decreasing the toxic potential of IVRA and enabling simultaneous bilateral treatment. Leakage of local anesthetic under the forearm tourniquet has been a matter of controversy; in theory, it could be difficult to compress the intraosseous vessels in the forearm with a forearm tourniquet.…”

Section: Discussionmentioning

confidence: 98%

“…[8][9][10] With conventional IVRA, tourniquet pain is a limiting factor; however, tolerance is improved by the use of a forearm tourniquet instead of the traditional upper-arm tourniquet. [11][12][13][14] Because the forearm tourniquet confines a smaller part of the arm, the dose of local anesthetic can be reduced, thus minimizing the risk of systemic reactions. 10,15,16 In combination with a local anesthetic agent with low systemic toxicity, such as prilocaine, simultaneous bilateral IVRA is made possible.…”

mentioning

confidence: 99%